EMSGrantsHelp Login

EMS Vehicles Grant Assistance Request Form

To access the EMS Vehicles Grant Assistance Program on EMSGrantsHelp, please submit the below information. Once your information is submitted, you will be able to access the FREE Grant Assistance training resources available through the program. Your request will also be forwarded to the EMSGrantsHelp team and you will be contacted by a Grants Assistance Manager within 72 hours.Thank you!

* - required field

* Department Name

* Department Type

Department Type (Other)

* Department Address

* Department City

* Department State

* Department Zip Code

* First Name

* Last Name

* Rank/Title

Title/Rank (Other)

* Phone #

ex.415-555-1212

* Email

* Confirm Email

* Tax Status

* Staffing Profile

* How many people are in your department?

* How would you describe your department?

* What type of grant assistance are you requesting? Please check all that apply

Free Grant Assistance PackageFree Grant ReviewGrant Writing

* Please describe the specific type and quantity of products for which you are requesting funding

Are you replacing inventory?

* Are you authorized to submit grants and purchase for your department?

Additional comments about your project and need

List any distributor you are working with on this project (If any)

By filling out this form and submitting my information, I understand that I may be contacted by a manufacturer regarding my departmentís equipment needs. I also understand that this is a request for help locating funding and not a grant application.

Note on Procurement Integrity EMSGrantsHelp does not benefit from, participate in or otherwise influence the procurement process for grant awards. All assistance is product and vendor neutral to avoid any real or apparent conflict of interest.